DFIB

I am not buying that for a second. Of course ladies can urinate in the back if the ambulance. you just have more clothes to go through.

Every time you need to pee, think about sex.

Kiwi. you make me chuckle on the dreariest of days. Wendy. I don't think we are in disagreement. I think that a key element is precisely that ministry based medical care is well advertised and users know what they are in for. The discussion really doesn't have to be a discussion about any particular topic, religion or otherwise. It simply has to be regarded an invasion of privacy or a crossing of boundaries to be considered inappropriate. When I pay a DR., nurse, mechanic, etc, for his time and expertise I want to talk about topics of my interest, because I am the client. Patrons are paying for a service, not to be chatted up.

This is not that odd. There are thousands of the most professional providers in the world that participate in medical ministries. Most of them provide their skills for free. Some of the patients make a spiritual decision, all of them receive quality care.

Sometimes we sits and thinks, sometimes we just sits.

You would be surprised at the amount of people that believe that God is in control of all things in their life.This is a very complicated theology for most Christians and most definitely for non believers to understand. It is rooted in a Biblical teaching that God is all powerful and sovereign in all things. We believe that His perfect will work all things together for the good of those who love Him. Therefore, nothing is impossible for God. I believe this theology. I have seen definite miracles but most often see circumstances develop through the normal administration of science and natural law.. I understand that miracles are extraordinary and have a adequate balance in my beliefs and their expressions. I mention this so that you can understand where your classmate is coming from. I think that she is sure and confident in her religious beliefs but has very little experience with society at large. Many times people like your classmate say things like what you describe to demonstrate their faith, but more often than not it is simply the way they normally talk to their family and circle of friends. They do not realize that people with different socio-religious backgrounds might think their behavior is odd or weird. I think you can help her by talking to her from a clinical perspective and say that although we all believe different things we have to respect the patients beliefs as well as avoid the dangers of inducing the patient into unhealthy theocratic projections stemed from their psychopathology. It is gonna be up to you to decide if you want to help her understand limits and boundaries. I would explain the situation to her because of the commonality of beliefs and because I bet she is a really good and caring person that can help many as a provider.

It will be pretty hard for someone that can't punctuate better than the before mentioned quote. Are you planning on responding to any of the threads you start?

Go get 'em buddy! Keep us in the loop!

I wouldn't have a clue as to how you improvise a spacer. I know how I would do it. Why don't you try and guess?

The reality is that we are probably all in the ditch about her motivation. For all I know she wanted to load their ski gear in the ambulance and stayed to watch the gear when refused, A reporter walks by and said "why are you standing "on the side of the road" with ski gear. They wouldn't let me carry it on the ambulance with my critical husband. Your husband is critical? And you are here? If you will sue them I will write the story!! Oh look, he must be better! They are coming back ... Only the participants really know what really went down.

The only epi-pen I have ever seen is a trainer except for one I purchased myself. How are they teaching you to give IM? What dose and how do they train basics to get the right dose?

Babinski and painful stimuli have two entirely different diagnostic purposes. I would not find Babinski very useful in determining the LOC. A reflex would be absent or present even if the patient were not alert and oriented. A good sternal rub is my favorite.

I think this post may take the prize for the longest run on list of words ever.

Welcome to the City amigo. I would ask local services that you might apply for as to their requirements. Requirements will most likely differ from service to service.

I have a 100 and a 700 that are pretty recent. Both have .3 CEU. I took them online and the system e mailed me the certificate.

This thread might interest you and benefit from your experience.

You could start your own scenario and see where it leads. Scenarios are like a box of chocolates.....

I guess I fantasize a lot!

I kinda agree except I would place emphasis on the other part of the post. The part about where I am going to avoid as many hazards for my patient as I can. If giving them a push ride is less hazardous and more practical, that will be my choice. In the end I can't just say "sorry you fell on the way to the ambulance mate" or risking injury while walking some dude to the truck.

All medical science works best and is best understood when approached from an objective point of view. When preforming the assessment of a patient there is a moment when they become a complex problem I have to decipher. I know that this dehumanizes them for a few seconds, I cannot hear their screams, I cannot feel their pain, they cease to have a face or feelings. For a moment there is riddle in this person that has to be found solved and defeated. Their gender or degree of hotness cannot be a factor. This moment is short lived and flighty, after which my patient once again becomes more than a compilation of data For me when a student is giggling and not controlling his emotions shows blatant disrespect for the institution, the mock patient, the instructor and the science that is being practiced. If you pull them aside and tell them that a lack of respect will not be tolerated you will find that most will change their attitude towards assessment. Dwayne, During practicals I had a similar situation. We were toned out of class to an MVC down the road. Everything looked like the real deal (we knew it was training). A car and a truck in a t-bone collision. The dents were in the right place and everything. My patient was a middle aged lady in the same scenario as the one you describe. She was in the front seat of her truck complaining of pain everywhere. I did not cut off her clothes but did give a full assessment. I don't think she had been debriefed and she was a little surprised and uncomfortable but did not break character.

I may be a simple minded dude but if I can get to them with the stretcher I will give them a ride to the ambulance. If they can get on the stretcher by themselves It is taken as a plus. I do this for several very simple reasons. First, I began my medical career as a gurneyman at a hospital ( they called us Transport Techs.) The hospital responsibility to the patient extended to the moment they were delivered to a family member and helped to get into their car. I heard people frequently say " I can walk" " I don't need the chair". Despite their protest they all got a courtesy ride to their car. This experience taught me that if I am responsible for my patient and are going to be their advocate I have to control as many variables of their care as I can. When I place a patient on the stretcher I remove many variables that could possibly cause harm to my patient and ridicule or legal liability to me and my company. I don't know if this holds up the progression of our profession but it gives my patients the very best service I can provide. If a patient has already walked himself to the ambulance or has a pretty minor condition I let 'em climb in with assistance.

You might be right. Very uncharacteristic.

I treated a lady with severe epistaxis once. She had lost approx. 500 - 800 ml of blood and her bp was 210/160. Would we consider the bleed to be evidence of end organ damage? Would treating her BP in the field be appropriate assuming i held the certs to do so? I would be afraid of her decompensating from a combination hypovolemia and vasodilation.

Wow island, There are just to many negative things that I can read into your post. I think that since Mike could not get an adequate operational debriefing from his partner he came to a forum where he knows there are professional people who will at least give him an unbiased professional opinion about his scenario, interventions both performed and omitted. I bet you could offer some good advice for him as well as the others.

Smells fishy. I know strong young men who quit a fireman job in tears from all the crap they had to put up with. I don't know the facts but you gotta be pretty tough to be a probie in a lot of services. There are way too many firemen that think seniority gives them the right to be A-holes. On the other hand being a chick and getting turned down for a job or expecting the knuckle draggers to treat you better than your male counterparts is the goose that lays the golden eggs, about 2 million of them in this case.